COSMETIC & IMPLANT DESIGNS GROUP PA
NPI 1457095630
Clinic/Center - Dental in Coconut Creek, FL

Active since April 25, 2022
4825 COCONUT CREEK PKWY, COCONUT CREEK, FL 33063(954) 642-2203 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cosmetic & Implant Designs Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSMETIC & IMPLANT DESIGNS GROUP PA (NPI 1457095630) is a healthcare organization registered as a dental in Coconut Creek, Florida and active in the NPI registry since April 2022. The organization lists Johnny Peralta Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1457095630
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOSMETIC & IMPLANT DESIGNS GROUP PA
Location Address4825 COCONUT CREEK PKWYCoconut Creek, FL 33063-3944
Mailing Address4825 Coconut Creek PkwyCoconut Creek, FL 33063-3944 · (954) 642-2203
Organization SubpartNo
Authorized OfficialJohnny Peralta LeeOwner · (954) 394-9364
Enumeration DateApril 25, 2022
NPPES CertifiedApril 25, 2022
NPI 1457095630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4825 COCONUT CREEK PKWY, Coconut Creek, FL 33063

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4825 COCONUT CREEK PKWY
COCONUT CREEK, FL 33063
Dentist
4825 COCONUT CREEK PKWY
COCONUT CREEK, FL 33063
Dentist (General Practice)
4825 COCONUT CREEK PKWY
COCONUT CREEK, FL 33063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cosmetic & Implant Designs Group PA's NPI number?

The NPI number for Cosmetic & Implant Designs Group PA is 1457095630. It was assigned to this organization in the NPPES registry on April 25, 2022.

Where is Cosmetic & Implant Designs Group PA located?

Cosmetic & Implant Designs Group PA is located at 4825 Coconut Creek Pkwy, Coconut Creek, FL 33063. The listed phone number is (954) 642-2203.

What is Cosmetic & Implant Designs Group PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Cosmetic & Implant Designs Group PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Cosmetic & Implant Designs Group PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cosmetic & Implant Designs Group PA was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.